Healthcare Provider Details

I. General information

NPI: 1316942667
Provider Name (Legal Business Name): JOHN FREDERICK EURICH III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 QUIVIRA RD
LENEXA KS
66215-3902
US

IV. Provider business mailing address

9040 QUIVIRA RD
LENEXA KS
66215-3902
US

V. Phone/Fax

Practice location:
  • Phone: 913-261-3153
  • Fax: 913-262-3295
Mailing address:
  • Phone: 913-261-3153
  • Fax: 913-262-3295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number04-29494
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2002002017
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: